Pre-activity Form
Athlete Info
Coach Info
Emergency Contact
Any injury in the past year?
Any major illness or operation in the last 5 years?
Are you taking any prescriptive medication?
Do you or have you ever felt pain in your chest when you do physical activity?
Do you have high blood pressure?
Are you pregnant or given birth in the last 3 months?
Do you have any disabilities?
Do you know of any other reason why you should not do physical activity?
ARE YOU WORKING WITH US IN-PERSON OR ONLINE?
For your first session, which do you prefer?
How confident are you in speaking English?
Which of the following do you have access to?
Can you change your training days?
DISCLAIMER FOR THE USE OF VIDEOS AND IMAGES
WAIVER DECLARATION SPEEDWORKS TRAINING ย is providing coaching sessions involving running drills, technical running, and strength and conditioning. All exercises will be fully explained and/or demonstrated by your coach. All sessions are individualised to suit your ability and requirements.
DECLARATION OF FITNESS:ย I declare that all information I provided in the MEDICAL HISTORY section of this form are true. And I will immediately notify Speedworks Training in writing of any change to my medical condition, fitness or ability to participate. I understand and accept that Speedworks Training will continue to rely upon this as evidence of my fitness and ability to participate in in-person or online training sessions.
I understand that I must:
Notify my coach if there are certain exercises that I’m unable to do.
Notify my coach if I feel any discomfort or pain at any time during a session.
Notify my coach if I get ill or sustain an injury at any time during a session.
ACKNOWLEDGMENT OF RISKS: ย I am fully aware and conscious of the potential risks involved in any sporting activity, including training sessions. I acknowledge that I am exposed to certain risks during in-person or online training and that accidents may happen which may result in damage to property, injury or death. I have read and understood this warning and voluntarily accept and assume the inherent risks in participating in in-person or online training.
RELEASE OF LIABILITY: To the fullest extent permitted by all applicable laws, I, for myself and on behalf of my trustees, heirs, assigns, personal representatives and next of kin, hereby release and hold harmless Speedworks Training and their respective members, directors, officers, employees, volunteers, partners, contractors and agents as well as any other entities and persons involved with or participating in the training sessions (e.g. other participants, owners and lessors of premises used to conduct the in-person or online training including the Loughborough University and TrainHeroic app) from any liability, whether arising from my negligence or otherwise, for any loss, injury, illness, disability, death, damage and costs incurred or suffered to person or property in relation to my participation in any activity related to in-person or online training.
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